Rock Creek of Ottawa
1100 W 15th Street · Ottawa, KS · 66067 · 7852425399
75 certified beds For profit - Corporation Chain: The Ensign Group Part of a CCRC
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 1 · $12,735 |
Inspection citations (28 in the current record)
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Actual harm · G January 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 10, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D January 30, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D January 30, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D January 30, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected March 7, 2025 · Nursing and Physician Services
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Potential for harm · D January 30, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · D January 30, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · E January 30, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · F January 30, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2025 · Nutrition and Dietary
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Potential for harm · D January 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 7, 2025 · Infection Control
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Potential for harm · D December 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · D March 29, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 27, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 29, 2023
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 27, 2023 · Quality of Life and Care
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Potential for harm · D March 29, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2023 · Quality of Life and Care
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Potential for harm · F March 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2023 · Nutrition and Dietary
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Potential for harm · D March 29, 2023
Provide and implement an infection prevention and control program.
Corrected April 27, 2023 · Infection Control
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Potential for harm · D August 9, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 31, 2021 · Resident Assessment and Care Planning
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Potential for harm · E August 9, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 31, 2021 · Quality of Life and Care
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Potential for harm · D August 9, 2021
Provide activities to meet all resident's needs.
Corrected August 31, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 27, 2026 | Fine | $12,735 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175332 · certified since January 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.